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开胸术后肺部并发症

Post-operative pulmonary complications after thoracotomy.

作者信息

Sengupta Saikat

机构信息

Department of Anaesthesia, Apollo Hospitals Education and Research Foundation, Apollo Gleneagles Hospitals, Kolkata, West Bengal, India.

出版信息

Indian J Anaesth. 2015 Sep;59(9):618-26. doi: 10.4103/0019-5049.165852.

Abstract

Pulmonary complications are a major cause of morbidity and mortality in the post-operative period after thoracotomy. The type of complications and the severity of complications depend on the type of thoracic surgery that has been performed as well as on the patient's pre-operative medical status. Risk stratification can help in predicting the possibility of the post-operative complications. Certain airway complications are more prone to develop with thoracic surgery. Vocal cord injuries, bronchopleural fistulae, pulmonary emboli and post-thoracic surgery non-cardiogenic pulmonary oedema are some of the unique complications that occur in this subset of patients. The major pulmonary complications such as atelectasis, bronchospasm and pneumonia can lead to respiratory failure. This review was compiled after a search for search terms within 'post-operative pulmonary complications after thoracic surgery and thoracotomy' on search engines including PubMed and standard text references on the subject from 2000 to 2015.

摘要

肺部并发症是开胸术后发病和死亡的主要原因。并发症的类型和严重程度取决于所进行的胸外科手术类型以及患者术前的医疗状况。风险分层有助于预测术后并发症的可能性。某些气道并发症在胸外科手术中更容易发生。声带损伤、支气管胸膜瘘、肺栓塞和胸外科手术后非心源性肺水肿是这类患者中出现的一些独特并发症。诸如肺不张、支气管痉挛和肺炎等主要肺部并发症可导致呼吸衰竭。本综述是在2000年至2015年期间,在包括PubMed在内的搜索引擎上搜索“胸外科手术和开胸术后肺部并发症”的检索词以及该主题的标准文本参考文献后编写而成的。

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